Widespread and unregulated doping of race horses is dangerous to horses, jockeys and the industry. Often drugged up with painkillers and performance-enhancing substances, race horses are pushed beyond their limits, leading to break downs and severe or fatal consequences for horses and their riders. Among the countries with prominent horseracing industries, the U.S. stands in a small minority in the permissive use of performance enhancing drugs. As a result, American horse racing is losing integrity and support. The Horseracing Integrity Act led by U.S. Reps. Paul Tonko (D-NY) and Andy Barr (R-KY) would grant independent control over rule-making, testing, and enforcement oversight regarding drugs and medication to a new Authority created by the U.S. Anti-Doping Agency. USADA would develop, publish, and maintain rules regarding substances and methods, and establish uniform rules imposing sanctions – up to a lifetime ban from horseracing.